CRNA $144K-$243K | San Antonio, TX

Compensation

$143,664 - $242,656 per year

Job Summary

The position is located at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio, TX and reports to Surgical Care. The APN in Vascular Surgery provides a full range of services and practices decisions autonomously and in consultation with physician and health care professionals, in a collegial relationship for mutual consultation and referral. Orders, facilitates, and interprets laboratory tests, diagnostic studies, and for Vascular Surgery patients to ensure timely completion.

Major Duties

The Vascular Surgery APN/NP is a licensed independent practitioner with advanced education and national certification who provides a full range of care using treatment guidelines. Major duties and responsibilities of the position include, but are not limited to: Make practice decisions autonomously and in consultation with physician and health care professionals, in a collegial relationship for mutual consultation and referral. Order, facilitate, and interpret laboratory tests, diagnostic studies, and for Vascular Surgery patients to ensure timely completion. Write progress notes daily for General surgery patients and assist teams as necessary with other progress notes. Independently review or complete discharge summaries on all patients on a daily basis. Provide follow-up for evaluation of outcomes of x-rays, laboratory tests and diagnostic procedures. Detect and evaluate any significant change in patient's condition and provide treatment as indicated. Independently managing a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice Providing assessments, evaluations, and care coordination of Veterans Prescribes pharmacologic and non-pharmacologic interventions. Developing and implementing an individualized plan to achieve optimal population health and disease management Ordering and interpreting labs, tests, and diagnostic studies. Demonstrates critical thinking in assessing and managing complex clinical situations. Communicates with patients via phone inquiries, secure messaging, etc. regarding surgical issues pre and post surgery. Aiding in health promotion, disease prevention, and health education Initiating referrals/consults for services, serving as a VA and community liaison Leads the delivery of care to assure continuity of care and peer accountability for practice, improving outcomes of panel/program. Communicates to attending surgeons and physicians regarding Vascular Surgery patients follow up and management of urologic procedures. Routinely staff the Vascular Surgery and Pre-Admission Surgical Screening Clinic (PASS) clinics In conjunction with Vascular Surgeon responsible for postoperative care of patients including inpatient rounding, discharge instructions from hospital, postoperative clinic evaluation and care. Educate patients on procedures to decrease post-operative wound infections, discuss some of the known risks of the surgery they are about to undergo, the pre-operative and post-operative expectations and expected hospital stay as needed. Maintaining written scopes of practice to medical aspects of patient care that are agreed upon and reviewed every 2 years by the APN and collaborating physician Identify systems issues affecting patient care and take appropriate actions to resolve the situation. Collaborate with nursing, MAS, radiology, pharmacy and other interdisciplinary services as indicated. Reviewing consults for Vascular Surgery and assigns to appropriate clinics for scheduling by MAS. Collaborate with the client and family to identify physical, mental, cultural, and environmental factors that affect the expected goals of surgery and post-operative discharge. Contributes to performance improvement initiatives by identifying, analyzing, developing, and implementing processes that improve care at the panel, program, or population level. Collaborates with stake holders to improve patient care, staff development, and performance measure. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 7:30-4pm CST Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized EDRP: Not Authorized

Requirements

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. May be required to pass pre-employment physical evaluation/examination, depending on the needs of the organization. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp Note: If your school has changed names, or is no longer in existence, you must provide this information in your application. Note: If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet.

How To Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/06/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/13105572. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Required Documents

To apply for this position, you must provide a complete Application Package which includes: Long-form resume/Curriculum vitae (CV) The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc. Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) Other (1) PCS Orders Performance Appraisal Professional Certification Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Other Information

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.